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Contract Details
Hanger Prosthetics & Orthotics, Inc.
Facility name
Hanger Clinic
Provider ID
P000007244
NPI
1942210489
Tax ID
521486235
Effective Date
4/1/2007
Last Updated
8/21/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2700 Grant Street
Mobile, AL 36606
United States
County
Mobile
Phone
2514737001
(
Phone
)
Billing Details
Address
2700 Grant Street
Mobile, AL 36606
Billing Phone
2514737001
Specialty Type
Orthotics/Prosthetics, Services
Map
Address